VO₂ max testing measures the maximum amount of oxygen your body can utilize during exercise. It is the single most validated predictor of cardiovascular fitness, endurance capacity, and long-term mortality risk.

At Makena Health, we perform VO₂ max testing using:

• Treadmill protocols for runners and general fitness

• Resistance bike protocols for cyclists and joint-friendly assessment

This allows us to tailor testing to your physiology, injury history, and performance goals.

Equipment: COSMED VO₂ systems are considered the industry standard due to their gold-standard accuracy and validation against research-grade metabolic testing methods, delivering highly precise, clinically reliable data.

Your Resting Metabolic Rate (RMR) or Resting Energy Expenditure (REE) is the number of calories your body burns at rest to sustain life.

We measure this using indirect calorimetry, providing:

• Precise daily caloric needs

• Insight into metabolic efficiency

• Data to guide fat loss, muscle gain, and hormone optimization

No more relying on formulas or wearable guesses.

Most facilities offer fragmented or fitness-only testing. We take a physician-led, integrative approach:

• Clinical-grade metabolic cart (not consumer devices)

• Dual modality testing: treadmill + resistance bike

• Full analysis of VO₂ max, RER, ventilatory thresholds, and substrate utilization

• Integration into a comprehensive medical and longevity plan

This is not just data collection. It is clinical interpretation and strategic application.

Your testing provides actionable insights into:

• Cardiovascular fitness and biological age

• Fat vs carbohydrate utilization (metabolic flexibility)

• Optimal heart rate training zones

• Caloric requirements for fat loss or performance

• Early metabolic dysfunction before lab abnormalities

• High performers optimizing endurance and recovery

• Individuals struggling with fat loss despite “doing everything right”

• Patients interested in longevity and cardiometabolic risk reduction

• Athletes seeking precise training zone data

• Anyone tired of guessing their metabolism

VO₂ max is one of the strongest predictors of lifespan ever studied. Higher levels are associated with:

• Lower cardiovascular mortality

• Improved metabolic health

• Enhanced cognitive resilience

Improving VO₂ max is one of the highest ROI interventions in longevity medicine.

Most people dramatically misestimate their caloric needs. This leads to:

• Plateaus in fat loss

• Loss of lean muscle

• Hormonal dysregulation

Measured RMR eliminates this guesswork and allows precision nutrition strategies.